Phillip W. Kostroun, REGISTERED DIETITIAN
NPI 1003924002ActiveIndividual· Dietitian, Registered· San Antonio, TX
Dietitian, Registered (REGISTERED DIETITIAN) with Diabetes and Glandular Disease Clinic PA, practicing in San Antonio, Texas. Medicare paid $24,288 for services to 196 patients in 2024.
Overview
| NPI | 1003924002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED DIETITIAN |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 196 |
|---|---|
| Services billed | 1,035 across 6 procedure codes |
| Paid by Medicare | $24,288 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Diabetes and Glandular Disease Clinic PASan Antonio, TX · 9 clinicians
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